J01
J01: Acute sinusitis
Non-billable headerICD-10-CM
J01 is a non-billable header ICD-10-CM code for acute sinusitis. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- sinusitis NOS (J32.9)
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Use additional code
Add a secondary code to capture the detail described below.
Includes
Conditions this code covers.
- acute abscess of sinus
- acute empyema of sinus
- acute infection of sinus
- acute inflammation of sinus
- acute suppuration of sinus
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead J01
7 child codes. Green means billable.